Organization
RIVERSIDE HOSPITAL CORPORATION
Active
Organization
RIVERSIDE HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA J CLANTON (CONTRACTS MANAGER)
(574) 283-1107
Entity
Organization
Contact information
Practice address
533 N NILES AVE, SOUTH BEND, IN 46617-1919
(574) 283-1104
(574) 283-2178
Mailing address
533 N NILES AVE, SOUTH BEND, IN 46617-1919
(574) 283-1104
(574) 283-2178
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264930A
—
IN
Enumeration date
11/21/2006
Last updated
02/01/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up